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1457057994
STACEY COHEN
PORTLAND, OR
NPI
1457057994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 10004005)
Enumeration Date
2023-02-06
Last Update Date
2024-02-09
Business Address
STACEY COHEN
300 N GRAHAM ST STE 200
PORTLAND, OR 97227-1676
Phone number: 503-413-4134
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Mailing Address
STACEY COHEN
PO BOX 4399
PORTLAND, OR 97208-4399
Phone number: 503-413-3900
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